Ioakimova K G
Arkh Patol. 1994 Mar-Apr;56(2):44-9.
78 autopsy cases of pneumonia provoked by different groups of hemolytic streptococcus are studied. These cases comprise 14.1% among bacterial pneumonia children who died because of inadequate antibacterial treatment. Some variants of streptococcal pneumonia corresponded to those found before the World War II, though the most grave necrotic forms are found seldom. Severe pleurisy as a complication of pneumonia was found in 35.9% of cases, having a character of pleural empyema (23.1%). In 5 children empyema developed without pneumonia, as a result of streptococcal spread from the mediastinum or by lymphogenic pathway.
对78例由不同组溶血性链球菌引发的肺炎尸检病例进行了研究。这些病例占因抗菌治疗不足而死亡的细菌性肺炎儿童的14.1%。某些链球菌肺炎变体与第二次世界大战前发现的变体相符,不过最严重的坏死形式很少见。35.9%的病例中发现严重胸膜炎作为肺炎的并发症,表现为胸膜脓胸(23.1%)。5名儿童在没有肺炎的情况下发生脓胸,是由于链球菌从纵隔扩散或通过淋巴途径传播所致。